Organization
GULF COUNTY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK D TRACY DC (OWNER)
(850) 227-7222
Entity
Organization
Contact information
Practice address
223 9TH ST, PORT ST JOE, FL 32456-1923
(850) 227-7222
Mailing address
223 9TH ST, PORT ST JOE, FL 32456-1923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220MX
BLUE CROSS
FL
Enumeration date
10/24/2016
Last updated
10/24/2016
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